Clara Residential Home, LLC

NPI #1447797246 in Forney, Texas

Provider Information

NPI Number: 1447797246
Entity Type: Organization
Organization Name: Clara Residential Home, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 31, 2017
Last Updated: Jan 31, 2017

Practice Location

Address: 1302 BUCKINGHAM DR
City: Forney
State: Texas
ZIP Code: 75126-6475
Phone: (214) 212-7002

Authorized Official

Name: FAITH CHESIRE
Title: DIRECTOR
Phone: (214) 212-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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